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ALTRUIX
STD19802 Conexio Care, Inc
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Covered Entity Details
Entity Name
Conexio Care, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD19802
Entity Address
38 Vandever Avenue
Wilmington, DE 19802
Grant Number
NH25PS005156-03-00
Participating Start Date
11/15/2021
Last Recertification Date
5/7/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
ALTRUIX
Pharmacy Address
601 CHINQUAPIN ROUND RD
ANNAPOLIS, MD 21401
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Dana Tozzi, Health Services Administrator
(302) 650-4497
Contract Pharmacy Representative
Altruix
Sam Brackett, Director of Pharmacy Ops
(301) 268-9234
Signed By Date
4/2/2025
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